Bleeding during cancer treatment

What to Expect

Your bone marrow makes cells called platelets. These cells keep you from bleeding too much by helping your blood clot. Chemotherapy, radiation, and bone marrow transplants can destroy some of your platelets.

If you do not have enough platelets, you may bleed too much. Everyday activities can cause this bleeding. You need to know how to prevent bleeding and what to do if you have bleeding.

Self-care

Talk with your doctor before you take any drugs, herbs, or other supplements. Do not take aspirin, ibuprofen (Motrin, Advil), naproxen (Aleve), or other drugs unless your doctor tells you it is okay to.

Be careful not to cut yourself:

Do not walk barefoot.

Use only an electric razor.

Use knives, scissors, and other tools carefully.

Do not blow your nose hard.

Do not cut your nails. Use an emery board instead.

Take care of your teeth:

Use a toothbrush with soft bristles.

Do not use dental floss.

Talk with your doctor before getting any dental work done. You may need to delay the work or take special care if you have it.

Do not get constipated:

Drink plenty of fluids.

Eat plenty of fiber in your meals.

Talk with your doctor about using stool softeners or laxatives if you are straining when you have bowel movements.

Other tips:

Avoid heavy lifting or playing contact sports.

Do not drink alcohol.

Do not use enemas, rectal suppositories, or vaginal douches.

Woman should not use tampons. Call your doctor if your periods are heavier than normal.

If you cut yourself:

Put pressure on the cut, with gauze, for a few minutes.

Use ice on top of the gauze to help slow the bleeding.

Call your doctor if the bleeding does not stop after 10 minutes or if the bleeding is very heavy.